Forms
To save time, please print these forms and fill them out before you arrive for your appointment. Please call if you have any questions.
Patient Information Form
Consent for Treatment Form
Financial Policy Form
Notice of Privacy Practices Form
Patient History Form
5204 S. Hwy 360, Suite 400 Grand Prairie, TX 75052
Phone: (972) 755 - 1785 Copyright © Grand Prairie Urgent Care 2008 Website by Revteq